Active NPI
Glenn M Winnestaffer, DC, DIBCN
- Neurology Chiropractor
- Gahanna, OH
National Provider Identifier
1528050952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 2080
- Practice address
- 358 S Hamilton Rd
Suite B
Gahanna, OH 43230-3311 - Phone
- (614) 471-5442
- Fax
- (614) 471-5462
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 2080 | OH | Primary |
Addresses
Primary practice location
358 S Hamilton Rd
Suite B
Gahanna, OH 43230-3311
Mailing address
358 S Hamilton Rd
Suite B
Gahanna, OH 43230-3311
Phone (614) 471-5442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0957460 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2080 | OH | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1528050952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 S HAMILTON RD",
"address_2": "SUITE B",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303311",
"telephone_number": "614-471-5442",
"fax_number": "614-471-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 S HAMILTON RD",
"address_2": "SUITE B",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303311",
"telephone_number": "614-471-5442",
"fax_number": "614-471-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINNESTAFFER",
"first_name": "GLENN",
"middle_name": "M",
"credential": "DC, DIBCN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OH",
"license": "2080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0957460",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.